Elizabeth K Allard, M.D.
Individual provider Active NPI Family Medicine Physician · New London, CT
NPI 1326155367 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326155367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 041444 (CT)
- Practice address
- 4 Shaws CV
Suite 103
New London, CT 06320-4956 - Phone
- (860) 443-3778
- Fax
- (860) 443-8820
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
196 Pkwy S
Suite 103
Waterford, CT 06385
Phone (860) 443-4383
Hospital & facility affiliations
- Yale New Haven Health - Health at Home Southeast
- Hartford Healthcare at Home
- Masonicare Home Health & Hospice, Inc
- Hartford Healthcare at Home
- Lawrence & Memorial Hospital
- Yale-New Haven Hospital
- William W Backus Hospital
- Westerly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060120000209 | CT | Practitioner - Family Practice | 9133143886 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041444 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients |
Locations
4 Shaws Cv
Ste 103
New London, CT 06320
Phone (860) 443-3778
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
196 Parkway S
Unit 103
Waterford, CT 06385
196 Parkway S
Ste 103
Waterford, CT 06385
Phone (860) 443-4383
Interoperability endpoints
- eallard186850@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 041444 | CT | Yes |
Addresses
Primary practice location
4 Shaws CV
Suite 103
New London, CT 06320-4956
Mailing address
4 Shaws CV
Suite 103
New London, CT 06320-4956
Phone (860) 443-3778
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001414440 | Medicaid | CT |
Other providers in New London, CT
- Angela Aguilar
- Damian Joel Aguilar
- Sarah Ali
- Naser Adeeb Aljundi
- Allan V. Chaney, LLC
- Tiffany Allen-Zunum
- Alison Lorraine Allen
- Audrey A Allen
- John Allen
- Allergy Associates of New London, PC
All providers in New London, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.